Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear

Abstract Although it is well known that repairing large or massive tears under tension may have an adverse effect on healing of the repaired tendons, only few studies have addressed this issue in medium-sized isolated supraspinatus full-thickness tear. The purpose of this study was to compare the cl...

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Autores principales:	Tae-Hwan Yoon, Sung-Jae Kim, Yun-Rak Choi, Du-Seong Kim, Yong-Min Chun
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ea4a8e71f24a4e6c8e9fb9c6391c51f4
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spelling	oai:doaj.org-article:ea4a8e71f24a4e6c8e9fb9c6391c51f42021-12-02T18:17:41ZIncomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear10.1038/s41598-021-86800-32045-2322https://doaj.org/article/ea4a8e71f24a4e6c8e9fb9c6391c51f42021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86800-3https://doaj.org/toc/2045-2322Abstract Although it is well known that repairing large or massive tears under tension may have an adverse effect on healing of the repaired tendons, only few studies have addressed this issue in medium-sized isolated supraspinatus full-thickness tear. The purpose of this study was to compare the clinical outcomes and structural integrity of arthroscopic rotator cuff repair with tension versus without it. This study retrospectively investigated 90 patients who underwent arthroscopic repair in a single-row for medium-sized isolated supraspinatus full-thickness tear. The patients were assigned to either repaired under tension (Group A, n = 38) or repaired without tension (Group B, n = 52) groups. Functional outcomes were assessed using the patient reported subjective values and the active range of motion (ROM). Postoperative radiographic evaluation was performed 6 months after the surgery to assess the structural integrity of the repaired tendons. Changes in the subjective shoulder scores from initial to 2 years after surgery showed no statistical significance between the two groups. The ROMs measured at initial and 2 years after surgery also showed no statistical difference between the two groups. Postoperative radiological evaluations found a significantly higher re-tear rate in Group A (28.9%, 11/38) than in Group B (9.6%, 5/52). The torn cuff tendons that were repaired under tension as retraction with limited mobility had significantly higher re-tear rate despite having immobilized for 6 weeks after surgery, but their clinical outcomes showed no significant difference from the outcomes of repaired tendons without tension.Tae-Hwan YoonSung-Jae KimYun-Rak ChoiDu-Seong KimYong-Min ChunNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tae-Hwan Yoon Sung-Jae Kim Yun-Rak Choi Du-Seong Kim Yong-Min Chun Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear
description	Abstract Although it is well known that repairing large or massive tears under tension may have an adverse effect on healing of the repaired tendons, only few studies have addressed this issue in medium-sized isolated supraspinatus full-thickness tear. The purpose of this study was to compare the clinical outcomes and structural integrity of arthroscopic rotator cuff repair with tension versus without it. This study retrospectively investigated 90 patients who underwent arthroscopic repair in a single-row for medium-sized isolated supraspinatus full-thickness tear. The patients were assigned to either repaired under tension (Group A, n = 38) or repaired without tension (Group B, n = 52) groups. Functional outcomes were assessed using the patient reported subjective values and the active range of motion (ROM). Postoperative radiographic evaluation was performed 6 months after the surgery to assess the structural integrity of the repaired tendons. Changes in the subjective shoulder scores from initial to 2 years after surgery showed no statistical significance between the two groups. The ROMs measured at initial and 2 years after surgery also showed no statistical difference between the two groups. Postoperative radiological evaluations found a significantly higher re-tear rate in Group A (28.9%, 11/38) than in Group B (9.6%, 5/52). The torn cuff tendons that were repaired under tension as retraction with limited mobility had significantly higher re-tear rate despite having immobilized for 6 weeks after surgery, but their clinical outcomes showed no significant difference from the outcomes of repaired tendons without tension.
format	article
author	Tae-Hwan Yoon Sung-Jae Kim Yun-Rak Choi Du-Seong Kim Yong-Min Chun
author_facet	Tae-Hwan Yoon Sung-Jae Kim Yun-Rak Choi Du-Seong Kim Yong-Min Chun
author_sort	Tae-Hwan Yoon
title	Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear
title_short	Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear
title_full	Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear
title_fullStr	Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear
title_full_unstemmed	Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear
title_sort	incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/ea4a8e71f24a4e6c8e9fb9c6391c51f4
work_keys_str_mv	AT taehwanyoon incompletefootprintcoverageundertensioninrepairofisolatedsupraspinatusfullthicknesstear AT sungjaekim incompletefootprintcoverageundertensioninrepairofisolatedsupraspinatusfullthicknesstear AT yunrakchoi incompletefootprintcoverageundertensioninrepairofisolatedsupraspinatusfullthicknesstear AT duseongkim incompletefootprintcoverageundertensioninrepairofisolatedsupraspinatusfullthicknesstear AT yongminchun incompletefootprintcoverageundertensioninrepairofisolatedsupraspinatusfullthicknesstear
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Incomplete footprint coverage under tension in repair of isolated supraspinatus full-thickness tear

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